Deimplementation of the Choosing Wisely Recommendations for Low-Value Breast Cancer Surgery: A Systematic Review.

ABSTRACT:

Importance

Overtreatment of early-stage breast cancer results in increased morbidity and cost without improving survival. Major surgical organizations participating in the Choosing Wisely campaign identified 4 breast cancer operations as low value: (1) axillary lymph node dissection for limited nodal disease in patients receiving lumpectomy and radiation, (2) re-excision for close but negative lumpectomy margins for invasive cancer, (3) contralateral prophylactic mastectomy in patients at average risk with unilateral cancer, and (4) sentinel lymph node biopsy in women 70 years or older with hormone receptor-positive cancer.

Objective

To evaluate the extent to which these procedures have been deimplemented, determine the implications of decreased use, and recognize possible b

SUBMITTER: Wang T 

PROVIDER: S-EPMC10185302 | biostudies-literature | 2020 Aug

REPOSITORIES: biostudies-literature